| NPI | 1235683368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS BIDALES Mgr 619-208-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |